NPIMap

Individual provider Active NPI

Wanas Aniss Hana Khalil

  • Pharmacist
  • Whitestone, NY
National Provider Identifier
1619147295
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
48122 Issued in NY
Practice address
807 Parsons Blvd
Whitestone, NY 11357-1036
Phone
(718) 565-1005
Fax
(718) 565-1004
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 48122 NY Primary

Addresses

Primary practice location

807 Parsons Blvd
Whitestone, NY 11357-1036

Mailing address

807 Parsons Blvd
Whitestone, NY 11357-1036
Phone (718) 565-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48122NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Naima Pharmacy Corp Current Accepting new patients
Elmhurst Pharmacy & Home Infusion Inc Current Accepting new patients
Queens Express Pharmacy Corp Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1619147295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 PARSONS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571036",
            "telephone_number": "718-565-1005",
            "fax_number": "718-565-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 PARSONS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571036",
            "telephone_number": "718-565-1005",
            "fax_number": "718-565-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "WANAS",
        "middle_name": "ANISS HANA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "48122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.